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Sample Forms & Checklists
Sample Forms
INVESTIGATION / CORRECTIVE ACTION REPORT
IDENTIFIED HAZARDS AND CORRECTION RECORD
WORKER TRAINING AND INSTRUCTION RECORD
Checklists
Download Safety Plan Questionnaire
As an AAGR member, we will provide you with a personalized electronic version of a Workplace Illness and Injury Prevention Program (IIPP) for your organization.Fill out safety plan questionnaire online here.
Safety Plan
Employers in California are required to have an effective written Injury and Illness Prevention Program (IIPP). The benefits of an effective IIPP include improved workplace safety and health, better morale, increased productivity, and reduced costs of doing business.
What an IIPP Is and How It Works
The Injury and Illness Prevention Program (IIPP) is a basic written workplace safety program. Title 8 of the California Code of Regulations (T8CCR) section 3203, requires every employer to develop and implement an effective IIPP. An effective IIPP improves the safety and health in your workplace and reduces costs by good management and employee involvement.
The 8 required Injury and Illness Prevention Program elements are:
- Responsibility
- Compliance
- Communication
- Hazard Assessment
- Accident/Exposure Investigation
- Hazard Correction
- Training and Instruction
- Recordkeeping
To be effective your IIPP must:
- Fully involve all employees, supervisors, and management
- Identify the specific workplace hazards employees are exposed to
- Correct identified hazards in an appropriate and timely manner
- Provide effective training
Remember, how well you actually put into practice your IIPP in your workplace is what will determine how effective it is. You must regularly review and update your IIPP in order for it to remain effective.